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General NPI Number Information
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NPI Number | 1508979931
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Entity Type | Organization
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Legal Business Name | TROY AUDIOLOGY, PC
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 751 WARREN ST 2
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City | HUDSON
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State | NY
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Zip | 12534-3016
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Country | US
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Telephone | 518-828-9902
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Fax | 518-828-7419
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Provider Business Mailing Address
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Address Line | 159 JEFFERSON HTS D001
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City | CATSKILL
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State | NY
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Zip | 12414-1237
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Country | US
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Telephone | 518-943-0591
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Fax | 518-943-4622
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Authorized Official
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Title or Position | CEO
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Name | MR. CHRISTOPHER PAUL QUENELLE
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Credential | MS, CCC
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Telephone | 518-943-0591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 15000001937
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 15000001949
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License Number State | NY
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